MEDICARE: SYED F SAJJAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA06535300	NJ

General Provider Information

NPI Number	:	1972674216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYED F SAJJAD

Provider Business Mailing Address
First Line	:	1760 WHITEHORSE HAMILTON SQUARE RD
Second Line	:	SUITE 4
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3535
Country	:	US
Telephone Number	:	609-586-6678
Fax Number	:

Provider Business Practice Location Address
First Line	:	1760 WHITEHORSE HAMILTON SQUARE RD
Second Line	:	SUITE 4
City	:	HAMILTON
State	:	NJ
Zip	:	08690-3535
Country	:	US
Telephone Number	:	609-586-6678
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SYED F SAJJAD
Credential	:	MD
Telephone Number	:	609-631-8488

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	06/23/2008

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